Clinical trial · Interventional
Safety and Diagnostic Performance of 111In-TJD-31 SPECT Imaging in Patients With Solid Tumors
A Single-Arm, Open-Label, Exploratory Clinical Study to Evaluate the Safety, Biodistribution, Dosimetry, and Preliminary Diagnostic Performance of a Novel SPECT Tracer 111In-TJD-31 in Patients With Solid Tumors
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 12, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260912-000001
Summary
Brief summary (as posted)
This study aims to evaluate the performance of a novel SPECT imaging agent, 111In-TJD-31, which targets placental alkaline phosphatase (ALPP). ALPP is a protein found on the surface of many malignant solid tumor cells but rarely present in healthy adult tissues. The purpose of this study is to assess the ability of 111In-TJD-31 to detect tumor lesions in patients with malignant solid tumors, as well as to evaluate its safety, biodistribution, pharmacokinetics, and radiation dosimetry. The study will enroll 8 participants: 2 healthy volunteers and 6 patients with confirmed malignant solid tumors. Healthy volunteers will provide blood samples at multiple time points after a single intravenous injection of 111In-TJD-31 to help measure how the agent moves through the body. Patients with malignant solid tumors will receive a single intravenous injection of 111In-TJD-31 and undergo SPECT/CT imaging at several time points post-injection. Participants will be followed for safety assessments through Day 7 after injection. This is an open-label, exploratory study conducted at Zhongnan Hospital of Wuhan University, with support from Tuo Jiding (Jiaxing) Pharmaceutical Technology Co., Ltd.
Conditions
Conditions (7)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Carcinoma | Carcinoma | ONTOLOGY_EXACT | 0.98 |
| Endometrial Neoplasms Malignant | Endometrial Neoplasm | PROBABILISTIC | 0.70 |
| Gastrointestinal Neoplasms | Digestive System Neoplasm | ALIAS | 0.90 |
| Lung Neoplasms | Lung Neoplasm | ONTOLOGY_EXACT | 0.98 |
| Ovarian Neoplasms | Ovarian Neoplasm | ONTOLOGY_EXACT | 0.98 |
| Solid Tumors | Solid Neoplasm | CURATED_BROADER | 0.80 |
| Testicular Neoplasms | Testicular Neoplasm | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| 111In-TJD-31 Injection | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Healthy Volunteers
- description
- Healthy volunteers receive a single intravenous injection of approximately 2 mCi (74 MBq) of 111In-TJD-31 Injection. Blood samples are collected at multiple time points (0.5, 1, 4, 8, 24, and 48 hours post-injection) for pharmacokinetic analysis. Safety follow-up is performed through Day 7 post-injection.
- interventionNames
- Drug: 111In-TJD-31 Injection
- type
- EXPERIMENTAL
- label
- Patients with Malignant Solid Tumors
- description
- Patients with confirmed malignant solid tumors receive a single intravenous injection of 3-5 mCi (111-185 MBq) of 111In-TJD-31 Injection. SPECT/CT whole-body planar imaging is performed at 4 ± 1 hours, 24 ± 2 hours, and 48 ± 2 hours post-injection, with tomographic imaging of regions of interest. Safety follow-up is performed through Day 7 post-injection.
- interventionNames
- Drug: 111In-TJD-31 Injection
Primary outcomes (2)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 75 Years
Show eligibility criteria text
Inclusion Criteria: * For Patients with Solid Tumors: 1. Voluntary signed written informed consent before any study-specific procedures; 2. Clinically highly suspected or histologically (or cytologically) confirmed malignant solid tumors with measurable lesions (target lesions), including treatment-naïve and relapsed patients; 3. Age ≥18 and ≤75 years, male or female; 4. ECOG performance status 0 or 1; 5. Life expectancy ≥6 months; 6. Women of childbearing potential must have a negative pregnancy test, and all participants (including male participants) must agree to use effective contraception during the study period and for at least 3 months after study drug administration. For Healthy Volunteers: 1. Chinese healthy volunteers, male or female; 2. Age 18 to 55 years (inclusive); 3. Body weight: females 45-80 kg (inclusive), males 50-80 kg (inclusive); 4. Women of childbearing potential must have a negative pregnancy test, and all participants (including male participants) must agree to use effective contraception during the study period and for at least 3 months after study drug administration; 5. Ability to communicate well with the investigator, understand and comply with all study requirements, and voluntarily sign informed consent before any study-related procedures. Exclusion Criteria: * For Patients with Solid Tumors: 1. Pregnant or breastfeeding women, or women planning to become pregnant during the study period or within 3 months after study drug administration (except those who have been postmenopausal for at least 1 year or have undergone surgical sterilization such as bilateral tubal ligation without reversal, bilateral oophorectomy, or hysterectomy); or participants planning to donate sperm or eggs during the study period or within 3 months after study drug administration; 2. Known or suspected allergy to the study drug or any of its components; 3. Receipt of another investigational agent at enrollment, or within 5 half-lives or 30 days after the last dose of such agent, whichever is longer; 4. Use of any radiotherapeutic agent within 90 days prior to study drug administration, or use of any radionuclide diagnostic agent within 3 days prior to study drug administration; 5. Significant hepatic or renal dysfunction: serum total bilirubin \>1.5 × upper limit of normal (ULN), or AST and/or ALT \>2.5 × ULN, or serum creatinine \>1.5 × ULN; 6. Active infection at screening; 7. Unable to lie flat and still for at least 30 minutes during SPECT imaging, or having claustrophobia or other conditions that preclude SPECT imaging; 8. Any other condition that, in the investigator's opinion, makes the participant unsuitable for the study. For Healthy Volunteers: 1. Pregnant or breastfeeding women, or women planning to become pregnant during the study period or within 3 months after study drug administration (except those who have been postmenopausal for at least 1 year or have undergone surgical sterilization such as bilateral tubal ligation without reversal, bilateral oophorectomy, or hysterectomy); or participants planning to donate sperm or eggs during the study period or within 3 months after study drug administration; 2. Known or suspected allergy to the study drug or any of its components; 3. Receipt of another investigational agent at enrollment, or within 5 half-lives or 30 days after the last dose of such agent, whichever is longer; 4. Clinically significant abnormalities in hematology, blood biochemistry, or urinalysis at screening; 5. History of any clinically significant disease (including but not limited to cardiac, hepatic, renal, digestive, biliary, endocrine, cardiovascular, neurological, psychiatric, respiratory, immunological, hematological, hematopoietic, or urinary system disease) within 4 weeks prior to screening, as judged by the investigator; 6. Blood pressure \>150/100 mmHg or \<90/50 mmHg at screening; 7. Use of any prescription or over-the-counter medication (including herbal medicines, dietary supplements, and vitamins, except for routine continuous vitamin use) within 2 weeks prior to study drug administration, unless judged by the investigator as not affecting the study results; 8. Blood donation or blood loss ≥500 mL within 12 weeks prior to study drug administration; 9. History of any malignant tumor; 10. Unable to lie flat and still for at least 30 minutes during SPECT imaging, or having claustrophobia or other conditions that preclude SPECT imaging; 11. Any other condition that, in the investigator's opinion, makes the volunteer unsuitable for the study.
References
Publications (6)
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- BACKGROUNDKalofonos HP, Giannakenas C, Kosmas C, Apostolopoulos D, Onienadum A, Petsas T, Dimopoulos D, Epenetos AA, Vassilakos PJ. Radioimmunoscintigraphy in patients with ovarian cancer. Acta Oncol. 1999;38(5):629-34. doi: 10.1080/028418699431230. PMID 10427953
- BACKGROUNDYang Y, Wang K, Li W, Adelstein SJ, Kassis AI. Human placental alkaline phosphatase-mediated hydrolysis correlates tightly with the electrostatic contribution from tail group. Chem Biol Drug Des. 2011 Dec;78(6):923-31. doi: 10.1111/j.1747-0285.2011.01238.x. Epub 2011 Oct 24. PMID 21910833
- BACKGROUNDBasiri M, Pahlavanneshan S. Evaluation of Placental Alkaline Phosphatase Expression as A Potential Target of Solid Tumors Immunotherapy by Using Gene and Protein Expression Repositories. Cell J. 2021 Nov;23(6):717-721. doi: 10.22074/cellj.2021.7299. Epub 2021 Nov 23. PMID 34939766
- BACKGROUNDMariani G, Bruselli L, Kuwert T, Kim EE, Flotats A, Israel O, Dondi M, Watanabe N. A review on the clinical uses of SPECT/CT. Eur J Nucl Med Mol Imaging. 2010 Oct;37(10):1959-85. doi: 10.1007/s00259-010-1390-8. Epub 2010 Feb 25. PMID 20182712
- BACKGROUNDJuweid ME, Al-Qasem SF, Khuri FR, Gallamini A, Lohmann P, Ziellenbach HJ, Mottaghy FM. Beyond fluorodeoxyglucose: Molecular imaging of cancer in precision medicine. CA Cancer J Clin. 2025 May-Jun;75(3):226-242. doi: 10.3322/caac.70007. Epub 2025 Apr 4. PMID 40183513